If you’re considering women’s health or pelvic floor physiotherapy, it’s completely normal to have questions. Below we’ve answered some of the most common questions we hear from women across the Northern Beaches about pregnancy, postnatal recovery, pelvic floor dysfunction, and related concerns.

What does a pelvic floor physiotherapist do?

A pelvic floor physiotherapist is specially trained to assess and treat conditions affecting the pelvic floor muscles and surrounding structures. These muscles support the bladder, bowel, and uterus, and play an important role in continence, sexual function, and core stability. Treatment may include education, pelvic floor muscle retraining, breathing strategies, strength and coordination work, and practical advice tailored to your goals and stage of life.

When should I see a pelvic floor physiotherapist after birth?

Many women benefit from pelvic floor physiotherapy from around six weeks postpartum, even if symptoms seem mild. If you’re experiencing bladder leakage, heaviness, pelvic pain, abdominal separation (diastasis recti), or difficulty returning to exercise, it’s worth booking an assessment. Early guidance can improve recovery and help prevent longer-term issues.

Do I need a referral to see a women’s health physiotherapist?

No referral is required to see a women’s or pelvic floor physiotherapist. You can book directly with us at either our Narrabeen or Frenchs Forest clinic. If you are referred by your GP, obstetrician, or specialist, we’re also happy to collaborate as part of your care team.

Is pelvic floor physiotherapy painful?

Pelvic floor physiotherapy should not be painful. Treatment is always guided by your comfort and consent. In some cases, an internal examination may be recommended to assess muscle function, but this is never mandatory and is only performed with clear explanation and permission. Many aspects of pelvic floor rehabilitation involve external assessment, education, breathing strategies, and targeted exercise.

Is an internal examination always required?

No. An internal assessment is often helpful for accurately assessing pelvic floor muscle strength and coordination, but it is not always required. Your physiotherapist will discuss options with you and explain the benefits and alternatives. You are always in control of what is and isn’t included in your assessment.

Can pelvic floor physiotherapy help with bladder leakage or urgency?

Yes. Pelvic floor physiotherapy is considered first-line treatment for many types of urinary incontinence, including stress incontinence (leakage with coughing, sneezing, or exercise) and urgency-related leakage. A structured pelvic floor program, combined with education and bladder retraining strategies, can significantly improve symptoms for many women.

Can pelvic floor physiotherapy help with prolapse?

Pelvic floor physiotherapy can help manage symptoms of pelvic organ prolapse by improving muscle support, strength, and coordination. While physiotherapy does not “reverse” prolapse structurally, it can reduce symptoms such as heaviness, pressure, or discomfort and improve confidence with activity. We also provide education and, where appropriate, collaborate with medical providers regarding pessary use.

Can pelvic floor physiotherapy help with pelvic pain or painful intercourse?

Yes. Pelvic floor dysfunction can contribute to persistent pelvic pain, vaginismus, vulvodynia, and pain with intercourse (dyspareunia). Treatment may include pelvic floor relaxation training, desensitisation techniques, breathing strategies, and gradual strengthening. Our approach is always respectful, paced, and tailored to your comfort level.

How many sessions will I need?

The number of sessions varies depending on your symptoms, goals, and stage of recovery. Some women benefit from just a few sessions focused on assessment and education, while others may follow a longer-term rehabilitation plan. After your initial appointment, we’ll outline a clear, individualised plan so you know what to expect.

Can pelvic floor physiotherapy help during menopause?

Yes. Hormonal changes during menopause can affect pelvic floor strength, bladder and bowel function, and vaginal comfort. Pelvic floor physiotherapy during menopause focuses on strength, coordination, symptom management, and exercise programs that support bone health and overall function.

What should I wear to my appointment?

Wear comfortable clothing that allows you to move easily. Depending on your symptoms, your assessment may involve posture, movement, and strength testing. Your physiotherapist will explain each part of the session so you feel prepared and supported.

Are women’s health physiotherapy services available at both clinics?

Yes. Women’s and pelvic floor physiotherapy is available at both our Narrabeen and Frenchs Forest clinics. We provide private, supportive consultations and work closely with local GPs and specialists across the Northern Beaches when collaborative care is needed.

If you’d like to learn more about our Women’s & Pelvic Health Physiotherapy services, or to book an appointment at Narrabeen or Frenchs Forest, our team is here to help.